Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
COVID VAC. COUNSEL UNDER 21YRS 16 TO 30 MIN
Low
$0
Average
$447
Median
$93
High
$1.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 82.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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26 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | $19 | 1% | — | $1.9k – $2.0k |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $700 | $905 | $290 | 32% | — | $700 – $1.3k |
| 3 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $756 | $756 | — | — | — | $756 – $756 |
| 9 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $1.9k | $1.9k | $19 | 1% | — | $1.9k – $2.0k |
| 10 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 12 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 14 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $47 | $47 | $4 | 9% | — | $43 – $51 |
| 15 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 16 | Maine Coast Regional Health Facilities Ellsworth, ME professional · percent of total billed charges · inpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 17 | Maine Coast Regional Health Facilities Ellsworth, ME professional · percent of total billed charges · outpatientfrom % of charges | 2 | $112 | $112 | $24 | 21% | — | $88 – $136 |
| 18 | Mayo Regional Hospital Dover Foxcroft, ME professional · percent of total billed charges · inpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 19 | Mayo Regional Hospital Dover Foxcroft, ME professional · percent of total billed charges · outpatientfrom % of charges | 2 | $103 | $103 | $25 | 24% | — | $78 – $127 |
| 20 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | $19 | 1% | — | $1.9k – $2.0k |
| 21 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 22 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 23 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 24 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | $19 | 1% | — | $1.9k – $2.0k |
| 25 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA case rate · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
← Payers reporting HCPCS G0314 · Snapshot 20261112T181611Z-3fa9fb76